Pedro Ordúñez

ORCID: 0000-0002-9871-6845
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About
Contact & Profiles
Research Areas
  • Blood Pressure and Hypertension Studies
  • Global Public Health Policies and Epidemiology
  • Health Systems, Economic Evaluations, Quality of Life
  • Cardiovascular Health and Risk Factors
  • Healthcare Systems and Reforms
  • Sodium Intake and Health
  • Cardiac Health and Mental Health
  • Global Health Care Issues
  • Hemodynamic Monitoring and Therapy
  • Nutritional Studies and Diet
  • Health disparities and outcomes
  • Health and Lifestyle Studies
  • Climate Change and Health Impacts
  • Obesity, Physical Activity, Diet
  • Chronic Kidney Disease and Diabetes
  • Pharmaceutical Practices and Patient Outcomes
  • Cardiovascular Health and Disease Prevention
  • Heart Rate Variability and Autonomic Control
  • Chronic Disease Management Strategies
  • Birth, Development, and Health
  • Health Promotion and Cardiovascular Prevention
  • Healthcare Systems and Public Health
  • Food Security and Health in Diverse Populations
  • Public Health and Social Inequalities
  • Child Nutrition and Water Access

World Health Organization Regional Office for the Americas
2016-2025

ORCID
2022-2024

Pan American Health Organization (Cuba)
2001-2023

Vital Strategies
2021

Centers for Disease Control and Prevention
2018

Medical University of South Carolina
2018

University of the West Indies
2018

The Centers
2018

Universidad De Santander
2017

University of Mississippi Medical Center
2017

The reduction by a third of premature non-communicable disease (NCD) mortality 2030 is the ambitious target Sustainable Development Goal (SDG) 3.4. However, indicator narrowly defined, including only four major NCDs (cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases) for people aged 30-70 years. This study focuses on avertable from NCDs-premature deaths caused that could be prevented through effective public policies health interventions or amenable to high-quality...

10.1016/s2214-109x(20)30035-8 article EN cc-by The Lancet Global Health 2020-03-18

To evaluate the associations between population-wide loss and gain in weight with diabetes prevalence, incidence, mortality, as well cardiovascular cancer mortality trends, Cuba over a 30 year interval.Repeated cross sectional surveys ecological comparison of secular trends.Cuba province Cienfuegos, from 1980 to 2010.Measurements Cienfuegos included representative sample 1657, 1351, 1667, 1492 adults 1991, 1995, 2001, 2010, respectively. National 14 304, 22 851, 8031 participants...

10.1136/bmj.f1515 article EN cc-by-nc BMJ 2013-04-09

Cuba's economic crisis of 1989–2000 resulted in reduced energy intake, increased physical activity, and sustained population-wide weight loss. The authors evaluated the possible association these factors with mortality trends. Data on per capita daily loss, smoking were systematically retrieved from national local surveys. National vital statistics 1980–2005 used to assess trends diabetes, coronary heart disease, stroke, cancer, all causes. intake 2,899 calories 1,863 calories. During...

10.1093/aje/kwm226 article EN American Journal of Epidemiology 2007-09-06

The analysis of causes impacting on premature mortality is an essential function public health surveillance. Diverse methods have been used for accurately assessing and reporting the level trends mortality; however, many important limitations, particularly in capturing actual early deaths. We argue that framework years life lost (YLL), as conceptualized disability-adjusted life-years (DALYs), a robust comprehensive measure mortality. Global Burden Disease study systematically providing...

10.1093/ije/dyy254 article EN cc-by International Journal of Epidemiology 2018-12-03

Hypertension is the leading remediable risk factor for cardiovascular disease, affecting more than 1 billion people worldwide, and responsible 10 million preventable deaths globally each year. While hypertension can be successfully diagnosed treated, only one in seven persons with have controlled blood pressure. To meet challenge of improving control hypertension, particularly low‐ middle‐income countries, authors developed Standardized Treatment Prevention Project, which involves a health...

10.1111/jch.12861 article EN Journal of Clinical Hypertension 2016-07-04

: The Lancet Commission on Hypertension identified that a key action to address the worldwide burden of high blood pressure (BP) was improve quality BP measurements by using devices have been validated for accuracy. Currently, there are over 3000 commercially available devices, but many do not published data accuracy testing according established scientific standards. This problem is enabled through weak or absent regulations allow clearance commercial use without formal validation. In...

10.1097/hjh.0000000000002246 article EN cc-by-nc-nd Journal of Hypertension 2019-09-15

The World Health Assembly 2018 approved a resolution on rheumatic heart disease to strengthen programmes in countries where this condition remains substantial public health problem. We aimed describe the regional burden, trends, and inequalities of Americas.In secondary analysis Global Burden Disease, Injuries, Risk Factors Study (GBD) 2017, we extracted data for deaths, prevalence cases, disability-adjusted life-years (DALYs), years lived with disability, life lost (YLL) as measures burden...

10.1016/s2214-109x(19)30360-2 article EN cc-by-nc-nd The Lancet Global Health 2019-09-16

Global Hearts is the flagship initiative of World Health Organization to reduce burden cardiovascular diseases, leading cause death and disability worldwide. HEARTS in Americas Initiative regional adaptation that envisions as model for disease risk management, including hypertension diabetes, primary health care by 2025. This entering its sixth year implementation now includes 22 countries 1 380 centers. The objectives this report are three-fold. First, it describes emergence main elements...

10.26633/rpsp.2022.96 article ES cc-by-nc-nd Revista Panamericana de Salud Pública 2022-07-16

Despite significant advances in health care over the last 50 years, global cardiovascular disease burden continues to increase with dire implications. It is well known that now leading cause of mortality, resulting approximately one third all deaths globally.1 This chilling statistic projected worsen years come and therefore needs be urgently addressed. Importantly, a large proportion these disease-related being driven by hypertension, risk factor widely present, affecting 30% adults...

10.1111/jch.13426 article EN Journal of Clinical Hypertension 2018-11-27

In Central America, chronic interstitial nephritis of agricultural communities (CINAC) has reached epidemic proportions. Clusters cases have been described in several farming communities. Its aetiology remains uncertain and a controversy exists on its key triggers, among them the heat stress-dehydration mechanism toxic exposure to agrochemicals.This study analysed mortality pattern trend kidney disease code N18 (CKD-N18) according International Statistical Classification Diseases Related...

10.1136/jech-2017-210023 article EN Journal of Epidemiology & Community Health 2018-02-02

This fact sheet and call to action is supported by the World Hypertension League, Argentinian Society of Hypertension, Asia-Pacific Regional Office South Asian African Research Universities Alliance, Belgian Committee, Blue Cross Shield Louisiana, Brazilian Society, Bulgarian Caja Costarricense de Seguro Social (Costa Rican Security Fund), Cameroon Heart Foundation, Chinese Colleagues In Care, Canada, European Cardiology Council on Ibadan Center Excellence for Non-communicable Diseases,...

10.1111/jch.13741 article EN cc-by Journal of Clinical Hypertension 2019-11-25

Abstract Increased blood pressure is a leading risk factor for death worldwide, and improving the control of hypertension major health goal to reduce non‐communicable disease. Thus, in 2016, as part regional effort between Pan American Health Organization Cuban Ministry Public cardiovascular disease, community demonstration project was implemented enhance control. The intervention population 25 868 people served by Carlos Verdugo Martínez Polyclinic Matanzas, Cuba. interventions currently...

10.1111/jch.13814 article EN Journal of Clinical Hypertension 2020-01-22

Abstract Cardiovascular diseases (CVD) are leading causes of mortality and morbidity in the Americas, resulting substantial negative economic social impacts. This study describes trends inequalities CVD burden Americas to guide programmatic interventions health system responses. We examined by age, sex, countries between 1990 2017 quantified across countries. In 2017, accounted for 2 million deaths 29% total deaths. Age‐standardized DALY rates caused declined −1.9% (95% uncertainty interval,...

10.1111/jch.13922 article EN Journal of Clinical Hypertension 2020-08-01

To describe the life expectancy, healthy disease burden, and leading causes of mortality disability in adults aged 65 years older Region Americas from 1990 to 2019.We used estimates Global Burden Disease Study 2019 examine level trends lost, lived with disability, disability-adjusted (DALYs).Across Region, expectancy at increased 17.1 (95% uncertainty intervals (UI): 17.0-17.1) 19.2 UI: 18.9-19.4) while 12.2 10.9-12.4) 13.6 12.2-14.9). All-cause DALY rates decreased each persons' age group;...

10.26633/rpsp.2021.114 article ES cc-by-nc-nd Revista Panamericana de Salud Pública 2021-01-01

This study uses data from the publicly available Medaval database to determine number of upper arm cuff and wrist blood pressure measuring devices sold globally as well percentages those that have been clinically validated for accuracy.

10.1001/jama.2021.24464 article EN JAMA 2022-02-15

<h3>Objective</h3> To describe the current situation and trends in mortality due to cardiovascular disease (CVD) Americas explore their association with economic indicators. <h3>Design Setting</h3> This time series study analysed data from 21 countries region of 2000 latest available year. <h3>Main Outcomes Measures</h3> Age-adjusted death rates, annual variation rates. Regression analysis was used estimate between age-adjusted rates country income. <h3>Results</h3> Currently, CVD comprised...

10.1136/heartjnl-2012-301828 article EN Heart 2012-07-22

Immediate and coordinated action is needed to address the epidemic of chronic kidney disease sweeping across Central America. The disorder, known as CKDnT, not related traditional causes such hypertension diabetes, mainly affects young male agricultural workers, highest mortality being in El Salvador1Orantes CM Herrera R Almaguer M et al.Chronic associated risk factors Bajo Lempa region Salvador: Nefrolempa study, 2009.MEDICC Rev. 2011; 13: 14-22Crossref PubMed Google Scholar Nicaragua...

10.1016/s2214-109x(14)70217-7 article EN cc-by-nc-nd The Lancet Global Health 2014-06-24

Background Cardiovascular diseases (CVD) are the underlying cause 1.6 million deaths per year in Americas, accounting for 30% of total mortality and 38% by non-communicable (NCDs). A 25% reduction premature due four main NCDs was targeted 2011 High-level Meeting General Assembly on Prevention Control NCDs. While overall CVD fell Americas during past decade, trends same period have not been described, particularly countries Latin America Caribbean. Methods This is a population-based...

10.1371/journal.pone.0141685 article EN cc-by PLoS ONE 2015-10-29
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